Individual
JULIAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9708 RIVERSIDE CIR, ELLICOTT CITY, MD 21042-5712
(410) 688-7469
Mailing address
9708 RIVERSIDE CIR, ELLICOTT CITY, MD 21042-5712
(410) 688-7469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MD
Other
Enumeration date
02/25/2019
Last updated
07/07/2020
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